Abstract
Study Design: This research is Quantitative Research using analytic observational with a cross-sectional approach. Background: Amputation hurts patients physically, psychologically and socially. Permanent physical disability due to amputation affects the thought, feeling and behavior of the patient, because patient will have the negative feeling on body image that can cause a feeling that he is not useful, worry about losing his job, pessimistic about the future and limit social relationships with self-withdrawal, so that patient will experience depression. Objectives: This research is to determine the factor affecting the subjective well being of transfemoral prosthesis users in Indonesia. Methods: The sample in this study was 110 users of the transfemoral prosthesis with a simple random sampling technique. The Data collection technique is using questionnaires and documentation. It was used Structural Equation Modeling (SEM) to analyze the data. Results: The result of this study had a statistically significant effect between motivation (p = 0.031), self-efficacy (p = 0.030), religiosity (p = 0.020), social support (p = 0.027), and optimism (p = 0.033) toward subjective well being. Conclusions: motivation, self-efficacy, religiosity, social support and optimism are the factors affecting the subjective well being of transfemoral prosthesis users in Indonesia. Clinical Relevance: Patient who had undergone amputation will have an effect on their subjective well being. It is important to know the factor affecting subjective well being of above knee amputation that use prosthesis. The factors are motivation, self-efficacy, religiosity, social support and optimism.
Highlights
Permanent physical disability due to amputation affects the thought, feeling and behavior of the patient, because patient will have the negative feeling on body image that can cause a feeling that he is not useful, worry about losing his job, pessimistic about the future and limit social relationships with self-withdrawal, so that patient will experience depression
World Health Organization (WHO) notes that in 2011 there were more than 5.6 million people died due to accident incidents and around 1.3 million people experienced physical disabilities
The influence of religiosity on subjective well-being Structural Equation Modeling (SEM) analysis results showed that the value of critical ratio (CR) on the influence of religiosity on the subject well-being in the table was 2.324> 1.96 with a value of p = 0.020
Summary
World Health Organization (WHO) notes that in 2011 there were more than 5.6 million people died due to accident incidents and around 1.3 million people experienced physical disabilities. The incidence of lower limb fractures has a high prevalence of accidents at around 40% 1. The United States has 1.7 million people living with lost limbs. One of 190 Americans currently lives with limb loss and this number is expected to double by 2050 2. While the incidence of amputation in Indonesia reached 25-30% of the entire incidence of lower limb amputation 3. The prevalence is much higher, because traumatic amputations are usually young life expectancy is long. In the United States it is known that 45 post-amputation people experience trauma 4
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